Active NPI
Rhode Island Wellness Clinic
- Internal Medicine Physician
- Wakefield, RI
National Provider Identifier
1083501936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RHODE ISLAND WELLNESS CLINIC
- Practice address
- 24 Salt Pond Rd Ste B1
Wakefield, RI 02879-4323 - Phone
- (617) 780-9774
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neima Hadi, MD
- Title
- Physician
- Phone
- (401) 642-4051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
24 Salt Pond Rd Ste B1
Wakefield, RI 02879-4323
Mailing address
24 Salt Pond Rd Ste B1
Wakefield, RI 02879-4323
Phone (401) 642-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250829002400 | RI | Part B Supplier - Clinic/Group Practice | 9436650520 |
Receives reassigned benefits from 4 practitioners Practice locations: Wakefield, RI |
National Provider Directory
National Provider DirectoryLocations
24 Salt Pond Rd
Ste B1
Wakefield, RI 02879
Phone (401) 642-4051
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- East Greenwich, RI
- NPI 1336596709
Internal Medicine, RI
-
- Internal Medicine Physician
- Wakefield, RI
- NPI 1316469299
Internal Medicine, RI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1083501936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE B1",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794323",
"telephone_number": "401-642-4051",
"fax_number": "401-642-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE B1",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794323",
"telephone_number": "617-780-9774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHODE ISLAND WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "HADI",
"authorized_official_first_name": "NEIMA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "401-642-4051",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.